Individual
EUGENE TKATSCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 G STREET, SALIDA, CO 81201
(719) 539-2700
Mailing address
9516 STATE HIGHWAY 291, SALIDA, CO 81201-9501
(406) 546-1067
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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